<div class="widget">
    <div class="widget-body">
            <form class="am-form tpl-form-line-form" data-am-validator id="formDoSubmitDialogMy">
                    <div class="am-g">
                      <div class="am-u-sm-6 am-u-md-6 am-u-lg-6 am-form-group">
                              <label class="am-u-sm-3 am-form-label">名称：</label>
                              <div class="am-u-sm-9"><input name="Name" type="text" id="Name"  placeholder="长度不超过40" maxlength="40" required/></div>
                      </div>
                      <div class="am-u-sm-6 am-u-md-6 am-u-lg-6 am-form-group">
                                <label class="am-u-sm-3 am-form-label">养护类型：</label>
                                <div class="am-u-sm-9">
                                    <label class="am-radio-inline"><input type="radio" name="CuringType" value="1" data-am-ucheck required> 重点养护</label>
                                    <label class="am-radio-inline"><input type="radio" name="CuringType" value="2" data-am-ucheck required> 临时养护</label>
                                </div>
                        </div>
                    </div>
                    <div class="am-g">
                        <div class="am-u-sm-6 am-u-md-6 am-u-lg-6 am-form-group">
                                <label class="am-u-sm-3 am-form-label">养护周期：</label>
                                <div class="am-u-sm-9">
                                    <select required name="TimeLimit" id="TimeLimit">
                                        <option value=""></option>
                                        <option value="1">1天</option><
                                        <option value="15">15天</option>
                                        <option value="30" selected>30天</option>
                                        <option value="60">60天</option>
                                        <option value="90">90天</option>
                                    </select>
                                </div>
                        </div>
                        <div class="am-u-sm-6 am-u-md-6 am-u-lg-6 am-form-group">
                            <label class="am-u-sm-3 am-form-label">所属品牌：</label>
                            <div class="am-u-sm-9">
                                <input type="hidden" name="BrandName" id="brand_name" value="">
                                <select required  placeholder="请选择所属品牌" name="BrandId" id="bId">
                                    <option value=""></option>
                                    {{range $k, $v := .brand}}
                                        <option value="{{$v.Id}}">{{$v.BrandName}}</option>
                                    {{end}}
                                </select>
                            </div>
                        </div>

                    </div>
                    <div class="am-g">
                        <div class="am-u-sm-6 am-u-md-6 am-u-lg-6 am-form-group">
                            <label class="am-u-sm-3 am-form-label">商品类型：</label>
                            <div class="am-u-sm-9">
                                <label class="am-radio-inline"><input type="radio" name="ProductTypeid" value="20" data-am-ucheck required> 隐形眼镜</label>
                                <label class="am-radio-inline"><input type="radio" name="ProductTypeid" value="50" data-am-ucheck required> 护理产品</label>
                            </div>
                        </div>
                        <div class="am-u-sm-6 am-u-md-6 am-u-lg-6"></div>
                    </div>

                <div class="am-text-center am-margin-top-sm"><button class="am-btn am-btn-secondary" type="submit">确认提交</button></div>
            </form>
    </div>
</div>